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General NPI Number Information
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NPI Number | 1609101310
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Entity Type | Organization
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Legal Business Name | MY MASTER'S WORLDWIDE VENTURES INC
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Dates
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Enumeration Date | 10/14/2009
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 5208 E FOWLER AVE SUITE A
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City | TAMPA
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State | FL
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Zip | 33617-1906
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Country | US
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Telephone | 813-443-5340
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Fax | 813-443-5341
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Provider Business Mailing Address
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Address Line | 5208 E FOWLER AVE SUITE A
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City | TAMPA
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State | FL
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Zip | 33617-1906
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Country | US
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Telephone | 813-443-5340
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Fax | 813-443-5341
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Authorized Official
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Title or Position | PHARMACIST/PRESIDENT
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Name | MR. ALFRED CHUKWUEMEKA ABALIHI
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Credential | BACHELOR OF PHARMACY
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Telephone | 813-728-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH24288
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License Number State | FL
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